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US Government to Transfer COVID Antiviral Distribution to Commercial Market on Nov. 1

Most patients will retain access to Pfizer's Paxlovid and Merck's Lagevrio COVID-19 treatment pills at little or no cost as commercial ordering begins, assisted by government supply until it runs out and compensation programs.

  • Beginning Nov. 1, the U.S. government will transfer the distribution of COVID-19 antivirals - Pfizer's Paxlovid and Merck's Lagevrio - to the commercial market while continuing to assist with the distribution of government-owned supplies until depleted.
  • Pfizer's Paxlovid, the most common home COVID-19 treatment, was previously procured by the U.S. government at $530 per course and made available at no cost; Pfizer has set the price at nearly $1,400 per course before rebates and discounts.
  • Patients insured under Medicare and Medicaid will continue receiving Paxlovid free of charge until the end of 2024, and uninsured and underinsured patients will have cost-free access through 2028, supported by Pfizer's program funded by the return of 7.9 million courses of the medication.
  • Health providers can order government-supplied Langevrio until Nov. 10 and Paxlovid until Dec. 15, and are encouraged to continue distributing these treatments free of charge until supplies run out.
  • Despite the price increases, Pfizer and Merck are launching co-pay saving programs and financial assistance to ensure those in need have affordable access to these treatments.
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